Endoscopic argon plasma coagulation treatment of esophageal mucosal dysplasia Care.docVIP

 PAGE \* MERGEFORMAT 7 Endoscopic argon plasma coagulation treatment of esophageal mucosal dysplasia Care [Abstract] summarized 36 cases of esophageal mucosal dysplasia in patients with endoscopic argon plasma coagulation of nursing experience, proposed APC is an effective treatment of esophageal mucosal dysplasia of the new method, good psychological care before surgery and preoperative preparation, intraoperative and the condition in line with observation, observation of postoperative complications and dietary guidance is an important measure of successful treatment. [Keywords:] esophageal dysplasia, endoscopy, argon plasma coagulation, nursing Esophageal mucosal dysplasia is a precancerous lesion of esophageal cancer, timely detection and treatment of esophageal dysplasia to prevent the occurrence of esophageal cancer has important significance [1] .2006 March to January 2008, our department were treated 36 cases of dysplasia in patients with esophageal mucosa by endoscopic argon plasma coagulation (Argon Plasma CXoagulation, APC) treatment, and achieved good results, now the care described below. 1 Materials and Methods 1.1 Clinical data The group of 36 patients were from March 2006 to January 2008 in our hospital gastroenterology patients, esophageal dysplasia were confirmed by endoscopy and pathology. Including 25 males and 11 females, aged 45 to 67 years, average 58.2 years old. by endoscopy and biopsy confirmed Ⅱ, Ⅲ grade dysplasia, EUS showed thickening of mucosal layer. lesion area of #8203;#8203;0.5 ~ 3.5cm2, including esophageal squamous dysplasia grade Ⅱ 25 cases, dysplasia in 11 cases of grade Ⅲ. 1.2 Treatment Electronic endoscope for the Olympus GIFQ 240Z, UM 3R small ultrasound probe, a frequency of 12MHz and 20MHz. Argon plasma coagulation therapy instrument (ERBE ICC200, APC300) coagulation index for the A60, argon gas flow 2.4L/min, power set 60W. by conventional endoscopy, the lesion into the microscope, extent, size,